PatientQuest
Enhance the Patient Experience While Improving Your Bottom Line
Service provided by Convergent Revenue Cycle Management, Inc.
Convergent Care
Convergent CARE PatientQuest is designed to increase physician and patient satisfaction while improving financial performance by reducing denials and bad debt. PatientQuest includes Physician Orders, Scheduling, Medical Necessity Determination, Pre-Registration, Insurance Verification, Pre-Certification, Financial Counseling, Red Flag Rules, Payment Estimation, Credit Scoring, Third Party Funding, Point of Service Collections, Reminder Calls, Expedited Admissions, and Quality Assurance in one comprehensive program.
The Problem
The typical hospital sees tens of thousands of patients every year, providing each with one or more of hundreds of possible treatments and seeking reimbursement from a variety of payment sources, each with its own eligibility and process rules. The inherent complexity of the patient access process causes errors that frustrate patients and physicians alike, while hospitals incur extra costs and lose revenue.
The Convergent Solution
PatientQuest drives down cost and improves quality through a combination of technology and friendly, well-trained patient access representatives. For more than 30 years we’ve been perfecting our leading consumer-driven call center technology for our Fortune 500 clients. And for 20 years we’ve delivered the same best practices, metrics, and analytics to help our healthcare clients monitor our success in resolving their issues.
- CE Scorecard – The Convergent Employee Scorecard is our innovative, proprietary web-based tool used to track and analyze key indicators of employee performance. We work with you to establish metrics that target your productivity goals.
- Remote Observation Call Monitoring – Convergent’s sophisticated call center technology puts you in on the call between patient and Convergent representative. The ability to listen to calls from the convenience of your own facilities makes it easy for you to confirm and control the care and quality of our communications with your patients.
- Client Management – We dedicate an account manager to serve as your single point of communication with us, simplifying the relationship and ensuring you always receive the attention you need. One-to-one communication, call calibration reviews, reporting, and more are a standard part of our five-star client services program.
The Bottom Line
Hospitals will see increased patient and physician loyalty, more payment at point-of-service, expedited patient registration and a reduction in missed appointments. In addition to the quality and patient and physician satisfaction benefits, PatientQuest is an operating budget neutral pre-access solution that can generate a net financial benefit equal to three to four times your investment, based on reductions in bad debt, charity and denials.